Light, Katherine Eileen
Light, Katherine Eileen is an individual health care provider with primary practice located at 150 Clearwater Largo Rd N Suite 2, Largo FL 33770-2388. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Light, Katherine Eileen can be contacted via phone (727) 518-0822.Contact Information
Primary practice address
150 Clearwater Largo Rd N Suite 2
Largo FL 33770-2388
Phone: (727) 518-0822
Fax: (727) 518-6511
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | ARNP579222 | Florida |
Profile Details
| NPI number | 1144319450 |
|---|---|
| LBN Legal business name | Light, Katherine Eileen |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Jul 31st, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144319450 | NPPES |
| Florida | MEDICAID | 304724500 |
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